LAND INFORMATION MEMORANDUM -APPLICATION FORM by mercy2beans109

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									      LAND INFORMATION MEMORANDUM – APPLICATION FORM
                                     (Please ensure that form is completed fully)


To:                LIM Department
                   Westland District Council
                   Private Bag 704
                   HOKITIKA
                   Fax No: (03) 756 9045
                   E-mail address: council@westlanddc.govt.nz
I /We request that a Land Information Memorandum (LIM) be prepared in relation to the following property:
                                              Property Details
Street Address:         ____________________________________________________________________

                        ____________________________________________________________________

Legal Description:      Lot: ________________________________                       DP: ________________________

                        Section: _____________________________                      Block: ______________________

                        Valuation Number: ____________________________________________________

                        Area: _________________

Present Owner(s):       ____________________________________________________________________

                        ____________________________________________________________________

                          Land Information Memorandum to be sent to:-
Name:                   ____________________________________________________________________

Address:                ____________________________________________________________________

                        ____________________________________________________________________

Telephone Number:       ________________________________

Signature:               ________________________________                           Date:________________________

Charge:                 The Council charge payable on the making of this application is $140.00 (including
                        GST or $225.00 if required within 48 hours).

                                Note: The application will not be processed until the fee is paid.




Office use only:
                        $___________ Receipt No.: ________________ Date: _______________

								
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